Reddy Anitha, Donoori Swathi, Raju Kalidindi Venkata Vijaya Narsimha, Pogu Tejashwini
Obstetrics and Gynaecology, Fernandez Hospital, Hyderabad, IND.
Surgical Oncology, Basavatarakam Indo American Cancer Hospital and Research Institute, Hyderabad, IND.
Cureus. 2024 Dec 30;16(12):e76611. doi: 10.7759/cureus.76611. eCollection 2024 Dec.
Vulvar cancer is an uncommon malignancy in reproductive-aged women, and its occurrence during pregnancy is rare. This report presents a case of vulvar squamous cell carcinoma (VSCC) diagnosed perioperatively in a 35-year-old pregnant woman. The patient was incidentally found to have lichen sclerosis and a suspicious vulvar lesion during an emergency cesarean section. Biopsy confirmed VSCC, and subsequent management involved a simple vulvectomy, sentinel lymph node biopsy, and local advancement flap reconstruction. Histopathological examination revealed clear margins and no lymph node involvement. This case highlights the importance of routine external genital inspection during pregnancy to enable early detection and timely management of vulvar lesions.
外阴癌在育龄女性中是一种不常见的恶性肿瘤，在孕期发生则更为罕见。本报告介绍了一例在围手术期诊断为外阴鳞状细胞癌（VSCC）的35岁孕妇。该患者在急诊剖宫产术中偶然发现患有扁平苔藓硬化症及一处可疑外阴病变。活检确诊为VSCC，后续治疗包括单纯外阴切除术、前哨淋巴结活检及局部推进皮瓣重建术。组织病理学检查显示切缘清晰且无淋巴结受累。该病例强调了孕期常规外阴检查对于早期发现和及时处理外阴病变的重要性。
